Blue Packet Flashcards
1
Q
define STANDARD PRECAUTIONS
A
set of precautions that apply to all pts in health care setting, whethere they are considered to be an infection risk or not
2
Q
what is the range for prehypertension
A
120-139/80-89
3
Q
what is the range for hypertension
A
140-159/90-99
4
Q
what is the range for hypertension crisis
A
> 180/ >110
5
Q
what is the range for hypotension
A
<90/<60
6
Q
what should be done when taking aural temperature for pts younger than 3
A
pull pinna down and back
7
Q
what should be done when taking aural temperature on pts 3 years and older
A
pull pinna up and back
8
Q
define ANTHROPOMETRIC MEASUREMENTS
A
taken to provide info to physician to assist w/diagnosis & treatment
9
Q
give examples of anthropometric measurements
A
height & weight
10
Q
what should be multiplied to lbs to convert to kilograms
A
0.45
11
Q
what should be multiplied to kilograms to convert to lbs
A
2.2
12
Q
what is the formula to covert celsius to farenheit
A
(1.8 x C) + 32
13
Q
what is the formula to convert farenheit to celsius
A
(F-32)/1.8
14
Q
what should be multiplied to inches to convert to cm
A
2.54
15
Q
what should be multiplied to cm to convert to inches
A
0.39
16
Q
what should you inform the pt of when injecting
A
medicine may burn or sting while being injected & may be pinched feeling while inserting needle
17
Q
what should the pt refrain from doing before a pulmonary function test (PFT)
A
refrain from smoking & using nebulizers/bronchodilators for 6 hours prior
18
Q
what action done by the MA helps ensure the most accurate PFT results
A
coaching during test
19
Q
how many times should a PFT test be done
A
3 acceptable tests completed
20
Q
purpose of sputum test?
A
detect lower respiratory tract infections
21
Q
how much sputum is needed for sputum test?
A
3mL-5mL
22
Q
purpose of saliva test?
A
monitor hormone, drug, & alcohol levels
23
Q
what must be done to samples of saliva test before being sent to lab
A
frozen
24
Q
purpose of fecal test?
A
detect presence of parasites, blood, and bacteria
25
when should fecal tests be sent to lab
immediately
26
purpose of semen test
fertility testing or future insemination
27
how should semen sample be collected and maintained for a semen test
- collect in sterile container
- protect from light
- keep at body temp
- test within 1 hour
28
how should pts be positioned if they are in shock
supine position w/feet elevated
29
characteristic symptoms of shock?
pt gray/ashen/blue & skin cool to touch
30
characteristic symptoms of syncope?
pt flushed, heavily sweating, dizzy, nauseated
31
what position should pts be in if they have syncope
supine
32
what should MA do if patients experience syncope after positioning them in supine
loosen clothing & maintain open airway
33
how long should the pt stay in office for observation after they have syncope
10 minutes
34
temperature range of autoclave?
250-320 degrees
35
what should MAs tell pts after they receive a venipuncture
do not remove bandage until 15 min after and avoid heavy lifting for at least 1 hour
36
what should the MA advise the pt to do when getting an EKG
- pee at least 10 min before
- rest 30 min before
- breath normally
37
what activities should a pt record if they are wearing a holter monitor
eating, bowel movement, exercise, sex, & any significant emotional event
38
what is normal adult body temp in celsius?
37
39
what is required on a letter to a medical community committee member
physician's signature
40
what are the five steps for filing
1. conditioning
2. releasing
3. indexing & coding
4. sorting
5. filing
41
what does conditioning mean in relation to filing
removing attached metal like paperclips
42
what does releasing mean in relation to filing
marking with a stamp/signature
43
what are the 3 filing methods
alphabetical, numerical, subject
44
purpose of Computerized Provider Order Entry (CPOE)
enables physicians who have appropriate admitting rights and hospital privileges to write admission orders for their pts through computer
45
define SELF-SCHEDULING APPTS
pts schedule their own appts 24 hours a day via their computers
46
define WAVE SCHEDULING
all pts seen in an hour schedules to arrive at beginning of hour and seen in order of arrival
47
define CLUSTER SCHEDULING
pts with similar problems/procedures booked consecutively
48
define ADVANCE BOOKING
appts scheduled months in advance
49
what should be done if a pt has to wait for more than 15 min
inform pt reason of delay & give option to reschedule
50
define SECURITY RULE
national standard requiring health care professionals to take specific technical precautions to ensure that pt information stored/transmitted in electronic format remains confidential, accessible, and of high quality
51
give examples of durable supplies
fax machine, computer, exam tables, EKG machines
52
give examples of non-durable supplies
pens, paper, gauze, tape, tongue depressors
53
when should the controlled substance inventory be counted
counted daily w/assistance of second person
54
CPT is a ____ code
5 digit
55
list the order of draw
yellow, blue, red, green, lavender, gray
56
what is underweight BMI
less than 19
57
what is normal BMI
19-24
58
what is overweight BMI
25-29
59
what is obese BMI
30-39
60
what is the BMI for extreme obesity
40-54
61
what is the formula for BMI
((pt weight in lbs x 703)/height in)/height in
62
what is the normal range for sodium
132-145 mEq/L
63
normal range for potassium
3.5-5.2 mEq/L
64
normal range for total cholesterol
130-200 mg/dL
65
normal range for FBS
70-110 mg/dL
66
normal range for A1c
less than 7%
67
normal range for triglycerides
40-150 mg/dL
68
normal range for uric acid
3-7 mg/dL
69
normal range for BUN (blood urea nitrogen)
8-20 mg/dL
70
normal range for prothrombin time (PT)
11-13 sec
71
normal range for platelets
150,000-400,000
72
normal range for urine pH
4.5-8
73
normal range for urine specific gravity
1.005-1.030
74
normal range for hemoglobin in a female
12-16 g/dL
75
normal range for hemoglobin in a male
14-18 g/dL
76
normal range for hematocrit in a female
37-47%
77
normal range for hematocrit in a male
40-54%
78
normal range for adult urine volume
750-2000 mL in 24 hr period
79
normal range for WBC
4.25-10.25
80
normal range for RBC in a female
4.2-5.4
81
normal range for RBC in a male
4.6-6.2
82
what PPE should be worn when dealing w/a pt who has active TB
N95
83
what do elevated troponin levels indicate
heart attack
84
how long should you measure pulse for if you notice irregular heartbeats
2 min
85
what should be dome if a hematoma starts developing during a venous blood draw
release tourniquet and stop draw
86
what is contraindicated for potassium test
iodine
87
what is proper time period for collection of newborn screening card
1-7 days
88
what should be done to EKG cables
disinfected
89
what should be applied to telemetry monitor electrodes if they become loose
apply surgical tape to keep in place
90
what do leads 1,2, and 3 form
einthovens triangle
91
where should an ammonia specimen be placed after collection
ice water slurry
92
when are CPT modifiers used
special circumstances applied to procedure are performed by provider
93
what is the most important questions to ask a pt when doing a metabolic panel
when was the last time you ate?
94
when should glucose cuvettes be compared to the code on the glucometer
every time before the glucometer is used
95
how are source-oriented templates organized
by entity that supplied the data
96
how does electrical interference appear in an EKG
regular and consistent lines w/same amplitude
97
how many lines are between the closing and typed signature in a business letter
3 lines
98
where should the green ground electrode be for ambulatory monitoring
centered over a rib on right side
99
where should the green ground electrode for a 12-lead EKG go
right leg
100
how should wounds be wrapped
distal to proximal
101
how many mL is in 1 TBsp
15
102
what gauge needle is required for subQ
25 gauge
103
what is appropriate to clean the urinary meatus for a clean-catch urine collection
benzalkonium chloride
104
who is the only one who can counsel unsure patients
provider
105
define endocarditis
inflammation of lining of heart
106
what is the P wave
arterial depolarization
107
define R wave
ventricular depolarization
108
what temperature water should be used for ear irrigation
room temperature
109
what is required to schedule an outpatient procedure after receiving providers order
pt demographic info
110
PR interval is a ______ of AV node conduction
direct reflection
111
what is the office visit code
99201-9949
112
ST elevations are signs of _____
acute myocardial infarction
113
what is the most important thing to know when determining therapeutic medication monitoring levels
time next dose is due
114
purpose of whistleblower protection act
protects staff after reporting pt neglect and abuse
115
what degree should the needle be when doing an antecubital insertion
15-30 degrees
116
what do CPT code modifiers indicate
alteration in service performed
117
when doing a CBC for a 10 month old, where should you do it?
on heel
118
what should be used on burns that have necrotic tusse
hydrogels
119
what should be done to hemostats before using
autoclave
120
what is an example of a CLIA waived test
rapid strep test
121
how many leads does the holter monitor have
5 leads
122
how do you calculate pt heart rate from an EKG
divide 1500 by number of small boxes between 2 R waves
123
what will happen to a specimen if it is vigorously shaken
hemolyzed
124
what does wave scheduling allow
flexibility
125
who owns patient medical records
medical facility that created them
126
what is required in a pediatric's pt chart
name(s) of parent(s)
127
what does the physician have to do with pt before any procedures
discuss/gain informed consent
128
t/f: a pt cannot be refused bc of age due to the pt bill of rights
true
129
what vaccine should be offered to medical professionals within 10 days of initial assignment to a job that includes contact with blood and/or body fluids
hepatitis B
130
define class A fires
from ordinary combustible materials
131
how do you extinguish class A fires
water/water based solutions
132
define class B fires
flammable liquids & vapors
133
how do you extinguish class B fires
extinguishers/remove oygen
134
define class c fires
electrical fires
135
how do you extinguish class c fires
non-conductive method
136
define class K fires
kitchen fires
137
what is the first step if blood splashes in your eyes
flush with water
138
what is the proper cleansing agent when doing a venipuncture on a pt suspected of drunk driving
benzalkonium chloride
139
what is the proper bleach solution to clean a surface exposed to bodily fluids
1:10
140
who should be informed if a pt states they have been a victim of domestic abuse
police
141
what is neutral pH
7
142
pH less than 7 means
acidic
143
pH greater than 7 means
basic
144
what is another word for basic (pH)
alkaline
145
what are tiger striped tubes
serum separators
146
what is the solution to a collapsed vein
use a smaller tube
147
what is the dose for a TB screen
0.10 cc
148
how long is the needle used for a TB screen
1/2 in
149
how many doses is the HBV
3
150
when is the second dose of the HBV given
1 month after first HBV dose
151
when is the third dose of the HBV given
6 months after 2nd HBV dose
152
define venules
small veins
153
how is nitroglycerin administered
sublingually
154
what is normal rectal temperature range
98.6-100.6
155
what is the normal oral temperature range in celsius
36.5-37.5
156
what does a triangle figure stand for
change
157
how long should heat be applied to a pt w/athritis
15-30 min
158
what is an alternative to an ace inhibitor
nitroglycerin
159
define PERICARDIUM
fibrous sac covering heart and in contact w/pleura
160
t/f: the right ventricle is thicker and larger than the left
false
161
t/f: the pulmonic and aortic valves are open during the systole phase
true
162
define SUPERIOR VENA VAVA
large blood vessel that returns oxygenated blood from head and neck to right atrium
163
purpose of coronary sinus
returns blood from coronary veins to right atrium
164
what does a saw tooth pattern indiciate
atrial flutter
165
describe the BUNDLE OF HIS
part of conduction system of heart located at superior portion of interventricular septum w/ability to function as pacemaker
166
what is the intrinsic firing rate of the bundle of his
40-60 bpm
167
what should be done if an evaluation of CP is made for a person w/normal baseline EKG
stress test
168
why is oxygen usually given to all pts w/angina pectoris
it causes vasodilation and protects the tissue from hypoxia
169
function of muscoskeletal system?
support and movement
170
define STRESS TEST
noninvasive diagnostic procedure to determine indirectly the presence of severity of coronary artery disease and lack of blood supply to heart muscle
171
define PHARMACOLOGICAL STRESS TESTING
give meds to increase Heart rate while being hooked to EKG
172
where do the coronary arteries receive oxygenated blood from
aorta
173
where is the AV node located
atrioventricular septum
174
what does the T wave represent
rest period
175
how many arteries does the coronary sinus have
2
176
what is the uppermost part of the hart known to be
base
177
define STROKE VOLUME
amount of blood ejected by heart in one cardiac contraction
178
what is the percentage component in blood
- 55% water/nutrients/plasma
- 45% RBC & WBC
179
why do potassium test need to be covered
they are very light sensitive
